Document Detail


Anesthesia for heart or single or double lung transplantation in the adult patient.
MedLine Citation:
PMID:  11414601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Providing an anesthetic for patients undergoing heart or a single or double lung transplantation may represent a challenge even to the most experienced anesthesiologist. Patients with end-stage cardiac dysfunction have an impaired response to beta-agonist due to receptor downregulation. These patient will have isolated left ventricular dysfunction secondary to ischemic heart disease or present with biventricular failure with or without significant pulmonary hypertension. Increasingly, more patients have undergone prior major cardiac procedures and are at risk for significant perioperative bleeding. Patients undergoing single or double lung are particularly challenging because most of these procedures are performed without the aid of cardiopulmonary bypass. The anesthesiologist must be proficient at the management of one-lung ventilation techniques and have a rational physiologic approach to the management of intraoperative hypoxemia and auto-PEEP.
Authors:
P M Chetham
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  15     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2001-06-20     Completed Date:  2001-10-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  167-74     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, University of Colorado Health Sciences Center, Denver 80266, USA. paul.chetham@uchsc.edu
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Agonists / pharmacology
Adult
Anesthesia*
Anoxia / physiopathology,  therapy
Cardiomyopathy, Dilated / physiopathology,  surgery*
Cardiopulmonary Bypass
Heart Transplantation*
Humans
Lung Transplantation* / methods
Respiration, Artificial
Ventricular Function, Right
Chemical
Reg. No./Substance:
0/Adrenergic beta-Agonists

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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